Isifo seMénière

Isifo seMénière yisifo sangaphakathi sendlebe esithinta ukulinganisela nokuzwa.

Indlebe yakho yangaphakathi inamashubhu agcwele uketshezi okuthiwa ama-labyrinths. La ma-tubes, kanye ne-nerve kugebhezi lwakho, akusiza wazi ukuma komzimba wakho futhi akusize ugcine ibhalansi yakho.

Imbangela ngqo yesifo seMénière ayaziwa. Kungenzeka lapho ingcindezi yoketshezi engxenyeni yendlebe yangaphakathi iphakama kakhulu.

Kwezinye izimo, isifo seMénière singahlotshaniswa no:

• Ukulimala ekhanda
• Ukutheleleka kwendlebe okuphakathi noma kwangaphakathi

Ezinye izinto ezinobungozi zifaka:

• Ukusetshenziswa kotshwala
• Ukungezwani komzimba
• Umlando womndeni
• Ukugula okubandayo kwakamuva noma kwegciwane
• Ukubhema
• Ukucindezeleka
• Ukusetshenziswa kwemithi ethile

Isifo seMénière yisifo esivame kakhulu.

Ukuhlaselwa kwesifo seMénière kuvame ukuqala ngaphandle kwesixwayiso. Zingahle zenzeke nsuku zonke noma ngokungajwayelekile kanye kanye ngonyaka. Ubukhulu bokuhlasela ngakunye bungahluka. Okunye ukuhlaselwa kungaba nzima futhi kuphazamise imisebenzi yokuphila yansuku zonke.

Isifo seMénière ngokuvamile sinezimpawu ezine eziyinhloko:

• Ukuzwa ukulahleka okuguqukayo
• Ingcindezi endlebeni
• Ukukhala noma ukubhonga endlebeni ethintekile, okuthiwa i-tinnitus
• I-Vertigo, noma isiyezi

I-vertigo enamandla yisifo esidala izinkinga eziningi. Nge-vertigo, uzizwa sengathi uyaphotha noma uyahamba, noma ukuthi umhlaba ujikeleza eduze kwakho.

• Isicanucanu, ukuhlanza nokujuluka kuyenzeka kaningi.
• Izimpawu ziba zimbi ngokuhamba okungazelelwe.
• Imvamisa, kuzodingeka ulale phansi uvale amehlo akho.
• Ungazizwa unesiyezi futhi ungekho ebhalansi noma kuphi kusuka kumizuzu engama-20 kuye emahoreni angama-24.

Ukulahleka kokuzwa kuvame ukuba sendlebeni eyodwa kuphela, kepha kungathinta zombili izindlebe.

• Ukuzwa kuthanda ukuba ngcono phakathi kokuhlaselwa, kepha kuba kubi ngokuhamba kwesikhathi.
• Ukuzwa kwemvamisa ephansi kulahleka kuqala.
• Ungase futhi ube nokubhonga noma ukukhala endlebeni (tinnitus), kanye nomuzwa wokucindezela endlebeni yakho

Ezinye izimpawu zifaka:

• Uhudo
• Ukuphathwa ikhanda
• Ubuhlungu noma ukungaphatheki kahle esiswini
• Isicanucanu nokuhlanza
• Ukunyakaza kwamehlo okungalawuleki (uphawu olubizwa ngokuthi i-nystagmus)

Kwesinye isikhathi isicanucanu, ukuhlanza, nohudo kuba nzima ngokwanele ukuthi uze udingeke ukuthi ungeniswe esibhedlela ukuze uthole uketshezi lwe-IV noma udinga ukuphumula ekhaya.

Ukuhlolwa kwesistimu yobuchopho nenzwa kungakhombisa izinkinga ngokuzwa, ukulinganisela, noma ukunyakaza kwamehlo.

Ukuhlolwa kokuzwa kuzokhombisa ukulahleka kokuzwa okwenzeka ngesifo seMénière. Ukuzwa kungenzeka kucishe kufane nokujwayelekile ngemuva kokuhlaselwa.

Ukuhlolwa kokukhuthaza ikhalori kuhlola ukucabanga kwamehlo akho ngokufudumeza nokupholisa indlebe yangaphakathi ngamanzi. Imiphumela yokuhlolwa engekho ebangeni elijwayelekile ingaba uphawu lwesifo seMénière.

Lezi zivivinyo zingenziwa futhi ukubheka ezinye izimbangela ze-vertigo:

• I-Electrocochleography (ECOG)
• I-Electronystagmography (ENG) noma i-videonystagmography (VNG)
• Iskena sekhanda le-MRI

Alikho ikhambi elaziwayo lesifo seMénière. Kodwa-ke, ukuguquka kwendlela yokuphila kanye nokunye ukwelashwa kungasiza ekunciphiseni izimpawu.

Umhlinzeki wakho wokunakekelwa kwezempilo angaphakamisa izindlela zokwehlisa inani loketshezi emzimbeni wakho. Lokhu kungasiza ukulawula izimpawu.

• Amaphilisi amanzi (i-diuretics) angasiza ekunciphiseni ukucindezela koketshezi endlebeni yangaphakathi
• Ukudla okunosawoti omncane nakho kungasiza

Ukusiza ukunciphisa izimpawu nokuhlala uphephile:

• Gwema ukunyakaza okungazelelwe, okungadala izimpawu zibe zimbi kakhulu. Ungadinga usizo lokuhamba ngesikhathi sokuhlaselwa.
• Gwema izibani ezikhanyayo, i-TV, nokufunda ngesikhathi sokuhlaselwa. Bangenza izimpawu zibe zimbi kakhulu.
• Ungashayeli, sebenzisa imishini esindayo, noma ukhuphuke kuze kube yisonto eli-1 ngemuva kokunyamalala kwezimpawu zakho. Ukupela ngesiyezi okungazelelwe phakathi nale misebenzi kungaba yingozi.
• Hlala uthule futhi uphumule lapho unezimpawu.
• Khulisa kancane kancane umsebenzi wakho ngemuva kokuhlaselwa.

Izimpawu zesifo seMénière zingadala ingcindezi. Yenza izinqumo zokuphila okunempilo ukukusiza ubhekane nakho:

• Yidla ukudla okunomsoco, okunempilo. Ungadli ngokweqile.
• Vocavoca umzimba njalo, uma kungenzeka.
• Lala ngokwanele.
• Nciphisa i-caffeine notshwala.

Siza ukunciphisa ukucindezeleka ngokusebenzisa izindlela zokuphumula, njenge:

• Izithombe eziqondiswayo
• Ukuzindla
• Ukuphumula kwemisipha okuqhubekayo
• I-Tai chi
• I-Yoga

Buza umhlinzeki wakho ngezinye izindlela zokuzinakekela.

Umhlinzeki wakho anganquma:

• Imithi ye-Antinausea yokuqeda isicanucanu nokuhlanza
• I-Diazepam (Valium) noma imithi yokugula yokunyakaza, efana ne-meclizine (Antivert, Bonine, Dramamine) ukuqeda isiyezi kanye ne-vertigo

Ezinye izindlela zokwelashwa ezingasiza zihlanganisa:

• Usizo lokuzwa lokuthuthukisa ukuzwa endlebeni ethintekile.
• Ukwelapha ibhalansi, okubandakanya ukuvivinya ikhanda, iso, nokuzivocavoca umzimba ongakwenza ekhaya ukusiza ukuqeqesha ubuchopho bakho ukunqoba isiyezi.
• Ukwelashwa ngokweqile usebenzisa idivaysi ethumela izingcindezi ezincane zengcindezi ngomsele wendlebe uye endlebeni ephakathi. Amapulse ahloselwe ukunciphisa inani loketshezi endlebeni ephakathi, nakho okunciphisa isiyezi.

Ungadinga ukuhlinzwa endlebeni uma izimpawu zakho zinzima futhi zingaphenduli kwezinye izindlela zokwelashwa.

• Ukuhlinzwa ukusika i-vestibular nerve kusiza ukulawula i-vertigo. Akulimazi ukuzwa.
• Ukuhlinzwa ukwehlisa isakhiwo endlebeni yangaphakathi ebizwa nge-endolymphatic sac. Ukuzwa kungathinteka ngale nqubo.
• Ukujova ama-steroids noma i-antibiotic ebizwa ngokuthi i-gentamicin ngqo endlebeni ephakathi kungasiza ekulawuleni i-vertigo.
• Ukususa ingxenye yendlebe yangaphakathi (labyrinthectomy) kusiza ukwelapha i-vertigo. Lokhu kudala ukulahleka okuphelele kokuzwa.

Lezi zinsizakusebenza zinganikeza imininingwane eminingi ngesifo seMénière:

• I-American Academy of Otolaryngology-Head and Neck Surgery - www.enthealth.org/conditions/menieres-disease/
• I-National Institute on Deafness and Other Communication Disorders - www.nidcd.nih.gov/health/menieres-disease
• Inhlangano Yezinkinga zeVestibular - vestibular.org/menieres-disease

Isifo seMénière singalawulwa ngokwelashwa. Noma, isimo singase sibe ngcono sisodwa. Kwezinye izimo, isifo seMénière singaba esingalapheki (sesikhathi eside) noma esikhubazayo.

Shayela umhlinzeki wakho uma unezimpawu zesifo se-Ménière, noma uma izimpawu ziba zimbi kakhulu. Lokhu kufaka ukulahlekelwa ukuzwa, ukukhala ezindlebeni, noma isiyezi.

Awukwazi ukuvimbela isifo seMénière. Ukwelapha izimpawu zakuqala zisuka kungasiza ukuvimbela ukuthi isimo singabi sibi kakhulu. Ukwelapha ukutheleleka kwendlebe nezinye izifo ezihlobene nakho kungasiza.

Ama-Hydrops; Ukulahlekelwa ukuzwa; Ama-hydrops endolymphatic; Isiyezi - Isifo seMénière; Isifo se-Vertigo - Ménière; Ukulahlekelwa ukuzwa - Isifo seMénière; Ukwelashwa ngokweqile - Isifo seMénière

• I-anatomy yendlebe
• Ulwelwesi lwe-Tympanic

I-Boomsaad ZE, iTelian SA, i-Patil PG. Ukwelashwa kwe-vertigo engalapheki. Ku: Winn HR, ed. Ukuhlinzwa Kwe-Youmans ne-Winn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 105.

I-Crane BT, i-LB encane. Iziphazamiso ze-peripheral vestibular. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 165.